DR. LISA KRISTINE JENSEN PH.D.
NPI 1659759355
Psychologist - Clinical in La Jolla, CA

Q: What is Lisa Jensen's NPI number?

The NPI number for Lisa Jensen is 1659759355. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Q: What is Lisa Jensen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Lisa Jensen enrolled in Medicare?

No. Lisa Jensen has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jensen was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2015Opted out of Medicare · through Dec 11, 2027

3252 HOLIDAY CT STE 201, LA JOLLA, CA 92037(619) 354-7400(619) 574-6964 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lisa Kristine Jensen Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA KRISTINE JENSEN PH.D. (NPI 1659759355) is an individual clinical provider in La Jolla, California, licensed in California (16103) and active in the NPI registry since May 2015. She has opted out of Medicare through December 11, 2027.

NPPES Registry Identity

NPI1659759355

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA KRISTINE JENSENCredential: PH.D.

Location Address3252 HOLIDAY CT STE 201La Jolla, CA 92037-1808

Mailing Address3252 Holiday Ct Ste 201La Jolla, CA 92037-1808 · (619) 354-7400 · Fax (619) 574-6964

Phone(619) 354-7400

Fax(619) 574-6964

Sole ProprietorYes

Enumeration DateMay 13, 2015

Last NPPES UpdateMarch 14, 2019

✔ NPI 1659759355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 16103

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3252 HOLIDAY CT STE 201, La Jolla, CA 92037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Kristine Jensen Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2023 through December 11, 2027.

Opt-Out Effective DateDecember 11, 2023

Opt-Out In Effect ThroughDecember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN DANIEL SPRINKLE PH.D.

Psychologist (Clinical)